PO Box 4454 ,
Pace, 32572.

Phone: 850-995-3600
Fax: 850-995-3620

King of the Court Entry

Fields marked with an * are required

I WILL ACCEPT SOLE AND COMPLETE RESPONSIBILITY TO ANY AND ALL BODILY INJURY TO THE ABOVE NAMED INDIVIDUAL ARISING OUT OF HIS/HER PARTICIPATION IN THIS EVENT. THIS RELEASE IS NOT TO BE CONSIDERED AS A RELEASE FOR BODILY INJURIES CAUSED BY GROSS NEGLIGENCE OR INTENTIONAL SORTS ON THE PART OF SANTA ROSA COUNTY SCHOOL SYSTEM, ITS AGENTS, OR EMPLOYEES. EACH STUDENT AND HIS/HER PARENTS SHALL BE RESPONSIBLE FOR THE STUDENT’S TRANSPORTATION TO AND FROM THE SITE OF ACTIVITY.

Signature agrees to waiver above.


Signature agrees to waiver above.


Signature agrees to waiver above.

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